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At least 19 recordsLinked to original sources

Muriel Driver Memorial Lecture 1984. Quality assurance--reflections on the wave.

This paper provides an overview of the evolution of quality assurance within the health care industry, with emphasis on the development of occupational therapy expertise. The current concept of quality assurance, focussed on ongoing monitoring and resolution of patient care problems, is discussed. The results of a national survey are presented, relating to the development of occupational therapy, quality assurance programs in the areas of: expertise in component activities, integration of facility and department programs, use of available resources, and extent of academic teaching. Predicted health care trends and their implications to occupational therapy are presented.

Canada↗

Occupational therapy management and job performance of staff.

This study focuses on two basic research questions: Do discrepancies exist between the way hospital-based occupational therapy department directors perceive their managerial leadership and the way their occupational therapy staff members perceive the directors' leadership? What effect does the managerial leadership of the directors have on staff occupational therapists' job performance? Mailed questionnaires were completed by 93 occupational therapy directors and 348 nonmanagerial registered occupational therapists who were employed in hospitals throughout the continental United States. The directors and their staff members demonstrated significant differences in their assessments of the directors' managerial leadership styles; directors generally gave themselves higher ratings than did their staff members. The occupational therapy directors gave their staff high job performance ratings. Also, discrepancies between the directors' and their staff occupational therapists' ratings of the directors' leadership styles correlated negatively with staff job performance. The results of the study suggest some potentially beneficial management training topics for department directors.

Employee Performance Appraisal↗

Occupational therapy in long term psychiatry: what's new?

This paper summarizes the results of a survey of the role of occupational therapy in provincial psychiatric hospitals in Ontario. Occupational therapy was found to provide major programming in three areas: 1) functional skills assessment and training, 2) life skills assessment and training and, 3) self awareness and personal growth. Subjects used a variety of frames of reference, but models based upon Glasser's Reality Therapy predominated. A complementary relationship was found between occupational therapy and vocational and recreational services, with occupational therapy playing a clinical or therapeutic role, while vocational and recreational services provided normalizing experiences. A comparison of occupational therapy programming in the institutions surveyed, with programming reported in the recent occupational therapy literature indicated that techniques and media utilized paralleled those used in acute and community psychiatric programs.

Hospital Departments↗

Creative technological aids for the learning-disabled child: an interdisciplinary project.

An interdisciplinary team of engineering students and occupational therapists have developed prototype electromechanical toys to enhance adaptive learning performance of developmentally disabled children. This paper describes the Creative Technological Aids (CTA) project undertaken under the joint auspices of the Undergraduate Research Opportunities Program (UROP) of the Massachusetts Institute of Technology and the Kennedy Memorial Hospital occupational therapy department. Four prototype CTA devices were evaluated in clinical and community settings and preliminary results show that these devices are highly motivational in teaching eye-hand coordination and perceptual-motor skills.

Cerebral Palsy↗

The occupational therapist in Papua New Guinea.

The Occupational Therapist (O.T.) is an indispensible member of all health teams in major general hospitals, rehabilitation centres, sheltered workshops, psychiatric clinics and special centres for children and elderly people, as well as contributing to many community health projects. The O.T. provides rehabilitation programmes for patients with spinal injuries, degenerative neurological disease, head injuries, blindness, amputations, and leprosy as well as many other disabling conditions. In addition occupational therapy is important in paediatric practice. Supervision of the sheltered workshop is a further responsibility of the O.T. It is recommended that the position for an O.T. in Port Moresby General Hospital be maintained, and that Papua New Guineans be trained overseas to meet future needs within the country.

Hospital Departments↗

Case report: a work simulation program for a manual worker with a fracture injury.

Work rehabilitation programs targeting different client groups are available in nearly all major hospital occupational therapy departments in Hong Kong. Clients receiving work rehabilitation are referred from various out-patient clinics and other occupational therapists. Those clients experience limitation in work after their injuries or diseases and plan to return to work after rehabilitation. Program objectives are 1) to assist clients to reach maximum work capacity as rapidly as possible 2) to ensure clients return to work safely 3) to improve clients' work readiness. This case report describes an individualized work simulation program at a general hospital in Hong Kong provided for a typical client who is preparing to return to his worker role. Specific job analysis, goals and program rationale for the client are discussed.

Journal Article↗

A collaborative occupational therapy and nursing approach to falls prevention in hospital inpatients.

A retrospective audit of inpatient falls at the Gold Coast Hospital was conducted in August 1996. This collaborative approach of occupational therapy and nursing staff aimed to reduce the number of patients falling while they were hospital inpatients. From the first audit a number of high risk patient groups, activities and ward environments were identified and a falls prevention program implemented. A second audit conducted 2 years later demonstrated a decrease in falls and related injuries. This paper discusses the findings of the falls audit and presents the 'Fall STOP' falls prevention program that was initiated.

Accidental Falls↗

A data management tool for reporting productivity.

Hospital-based occupational therapy departments in the 1980's must be able to report productivity levels in terms of cost-effectiveness. Only the most efficient programmes are likely to succeed in this era of budgetary constraints. A data retrieval model. operating in a hospital-based occupational therapy department is described. The model reports departmental productivity and data for making cost estimates related to direct and indirect patient care by diagnostic category. In addition, the system shows individual therapists' input and output. This data system has made possible monthly management statements that provide an overview of productivity and indicate the complexity of occupational therapy services for specific diagnostic categories within an acute-care paediatric hospital.

Efficiency↗

Physical and occupational therapy for arthritic patients: a cooperative effort among hospital departments.

The importance of a team approach for optimum management of arthritis is recognized, but small hospitals and clinics may have difficulty supporting a team when the number of arthritic patients treated by any one department is not large. A cooperative effort of our 500-bed hospital's sections of rheumatology, physical medicine, and orthopedic surgery provides a physical therapist and an occupational therapist to work exclusively with arthritic patients. By working across departmental lines the therapists perform enough services to pay their salaries. Patients benefit not only from the availability of therapist specialists but also from continuity of care. Presence of the therapists has permitted extension of care to a satellite clinic and to patients' homes. The cooperating sections have acquired personnel and capabilities not available to them if acting independently.

Arthritis↗

Quality assurance: the current challenge.

Occupational therapists are being challenged to measure and evaluate the care provided to their patients. This paper discusses the various stages of development of a quality assurance program within a large pediatric occupational therapy department. Several quality assurance activities undertaken are described, including the development of standards of clinical practice (based on the "Guidelines for the Client-Centred Practice of Occupational Therapy") and the development of assessment and documentation protocols. Outcome measurement in pediatric occupational therapy is addressed in relationship to the process measures which were developed in the department. The approaches to outcome measurement are outlined within the context of an audit attempting to evaluate the effectiveness of occupational therapy intervention based on five areas of evaluation.

Alberta↗